In the Matter of )Statute
Number/Name )
Petition for Negotiatedby
)
RulemakingName
of
Petitioner
)

COMES NOW
the Petitioner,
, according to the Nebraska
Negotiated
Rulemaking Act and according to the State Real Estate Commission rules and
regulations for Petitions for Negotiated
Rulemaking, and requests that the State Real Estate Commission establish a
negotiated rulemaking committee as set forth
in this Petition.

In support
of this request, the Petitioner states as follows:

1. The State Real Estate Commission
administers the provisions of [insert sections of the statutes or
legislative bill numbers for which negotiated rulemaking is sought],
and is responsible for development of rules and regulations to implement these
statutes.

3. A negotiated rulemaking
committee should be established to negotiate and develop rules on each of
the following issues concerning the statute(s), legislative bill(s) or
regulations(s) identified above [identify each issue
as to each statute, legislative bill or regulation and the general scope of the
rulemaking proposed] :

4.
The facts surrounding each of the issues listed in paragraph 3 above are as
follows:

5.
Establishment of a negotiated rulemaking committee would be in the public
interest under each of the
following criteria based upon the information the Petitioner hereby submits.

A. There is a need for rulemaking on the issue(s) identified above
because:

B. There are a limited number of identifiable interests that
will be significantly affected by the rule,
including the following interests:

C. There is a reasonable likelihood that
a negotiated rulemaking committee can be convened with a
balanced representation of people (1) who can adequately represent the interests
identified above and (2) are willing
to negotiate in good faith to reach a consensus on the proposed rule, as shown
by the following:

D. There is a reasonable likelihood that
a committee will reach a consensus on the proposed rule
within a fixed period of time because:

E. The use of this procedure will not unreasonably delay
formal rulemaking and issuance of a final rule
because:

F. [Optional for response by Petitioner] The State
Real Estate Commission should commit its
resources, including technical assistance, to such a committee because:

G. [Optional for response by
Petitioner] The State Real Estate Commission should, to the maximum
extent possible consistent with its legal obligations, use a consensus of such a
committee as the basis for a rule to be
adopted under the Administrative Procedure Act because:

6.
The following persons will be significantly affected by any rule which might
result from the negotiated
rulemaking procedure which is the subject of this Petition [identify such
persons by name and address where possible]:

7.
The following persons may be willing and qualified to represent the interests
that will be significantly
affected by any rule which might result from the negotiated rulemaking procedure
which is the subject of this Petition
[identify such persons by name and address where possible]:

8.
Petitioner offers the following additional information for use by the Commission
in consideration of
this request [if any]:

9.
Petitioner will submit, within 5 days from submitting this form, the following documents in support of
this request [list
all documents to be submitted]:

Submission of thisPetition
for Negotiated Rulemaking verifies that all statements and information provided
herein are true and correct and may be used as necessary by the Nebraska Real
Estate Commission if furtherance of
assuring compliance with the laws it regulates.